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Diabetes 50:2598-2602, 2001
© 2001 by the American Diabetes Association, Inc.

Rosiglitazone (BRL 49653) Enhances Insulin Secretory Response via Phosphatidylinositol 3-Kinase Pathway

Chi Yang1, Tien-Jyun Chang2,3, Jen-Chieh Chang1, Min-Wei Liu2, Tong-Yuan Tai2, Walter H. Hsu4, and Lee-Ming Chuang2,3

1 Department of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan
2 Department of Internal Medicine, National Taiwan University Medical College, Taipei, Taiwan
3 Graduate Institute of Clinical Medicine, National Taiwan University Medical College, Taipei, Taiwan
4 Department of Biomedical Sciences, Iowa State University, Ames, Iowa

To elucidate the direct effect of rosiglitazone (RSG), a new thiazolidinedione antihyperglycemic agent, on pancreatic insulin secretion, an in situ investigation by rat pancreatic perfusion was performed. At a basal glucose concentration of 6 mmol/l, RSG (0.045–4.5 µmol/l) stimulated insulin release in a dose-dependent manner. In addition, 4.5 µmol/l RSG potentiated the glucose (10 mmol/l)-induced insulin secretion. Both the first and second phases of glucose-induced insulin secretion were significantly enhanced by RSG, by 80.7 and 52.4%, respectively. The effects of RSG on insulin secretion were inhibited by a phosphatidylinositol 3-kinase (PI3K) inhibitor, LY294002. In contrast, the glucose-stimulated insulin secretion was not affected by LY294002. The potentiation effect of RSG on glucose-stimulated insulin secretion, in both the first and second phases, was significantly blocked by LY294002. These results suggest that RSG has a direct potentiation effect on insulin secretion in the presence of 10 mmol/l glucose, mediated through PI3K activity. The inability of LY294002 to inhibit glucose-induced insulin secretion suggests that different pathways are responsible for glucose and RSG signaling.



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